Responsible Supervisor: (Print) ______ / Sign: ______
Work Location: ______ / Date: ______
Responsible Supervisor: Review site and complete checklist daily. Post at work site. Discharge prior day’s checklist. BNL’s Hot Work Program can be found under the Fire Safety Subject Area, Section 2.
Item
/ Yes / No / N/AAre all combustibles relocated at least 35 ft in all directions from the work site?
If the answer to the above question is “no”, then following criteria also shall be met:
Where the combustible materials, such as paper clippings, wood shavings, or textile fibers, are on the floor, is the floor is swept clean for a radius of 11 m (35 ft)?
Are ducts and conveyor systems within 35 ft that might carry sparks to distant combustibles are shielded, or shut down, or both?
Are combustible floors (except wood on concrete) within 35 ft are kept wet, covered with damp sand, or protected by noncombustible or fire-retardant shields?
If relocation is impractical, combustibles are protected with fire-retardant covers or otherwise shielded with metal or fire-retardant guards or curtains?
Where floors have been wet down, are personnel operating welding equipment or cutting equipment protected from possible shock?
For hot work done near walls, partitions, ceilings, or roofs of combustible construction, are fire retardant shields or guards being used to prevent ignition of pipes or other metal that are in contact with combustible walls, partitions, ceilings, roofs, or other combustibles?
NOTE: Hot work shall not be attempted on a partition, wall, ceiling, or roof that has a combustible covering or insulation, or on walls or partitions of combustible sandwich-type panel construction
NOTE: Hot Work should not be done if the work is close enough to cause ignition by heat conduction unless the following criteria are met:
a) Are precautions taken to prevent ignition of combustibles on the other side by relocating the combustibles?
b) If it is impractical to relocate combustibles, is a fire watch is provided on the side opposite from where the work is being performed?
Is a fully charged and operable fire extinguisher(s) appropriate for the type of possible fire available immediately at the work area?
During hot work, has consideration been taken of, and if needed special precautions taken for avoiding accidental operation of automatic fire detection or suppression systems due to the proximity of the hot work?
NOTE: Special extinguishing systems, sprinklers, or detection systems may require impairment to avoid false alarms and activations of the systems.
Are nearby personnel suitable protected against from dangers such as heat, sparks, and slag (including the fire watch, if provided)?
Changes in local conditions may affect the length of the period for which the hot work permit is valid. Review local conditions after any changes. Changes affecting the above stated criteria must result in work ceasing until a new Hot Work Permit is issued.
Fire Safety Subject Area, Section 2, Hot Work, required checklist, Rev. 1